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Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.
Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. J Patient Saf. 2022;18(8):e1160-e1166. doi:10.1097/pts.0000000000001042.
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July 20, 2022
Wolf L, Gorman K, Clark J, et al. J Patient Saf. 2022;18(8):e1160-e1166.
Human factors play an important role in contributing to and preventing adverse events. This study found that integrating human factors into a new root cause analysis process led to an increase in the number of strong interventions implemented after adverse events.
